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Last Updated: Apr 23, 2020
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Mobilisation and Manipulation Use And Contraindications In Physiotherapy!

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Dr. Swarup SenPhysiotherapist • 13 Years Exp.BPTh/BPT
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What is manipulation?
Mobilisation and manipulation is same meaning. This is passive, skilled manual therapy techniques applied to joint.

Type of mobilization

  • Self mobilization or (auto mobilization)
  • Mobilisation with movement
  • Physiological movement
  • Accessories movement


Thrust - this is high velocity, short amplitude motion such as pt can't prevent it

Manipulation under anesthesia- this is medical procedures 

Benifit of mobilization - improve range of motion, reduce pain, improve the mechanics of joint to help with things such as lifting your arm, bending your spine and walk 

Note- mobilization can't change a disease process/ inflammation process but it can minimise pain, maintained joint play and reduce mechanical limitations

Indications of mobilization: pain muscles guarding and spasms

  • Reversible jt hypomobility
  • Positional fault and sublaxtion
  • Progressive limitations
  • Functional immobility
  • Contraindications for mobilization: inflammatory arthritic
  • Malignancy
  • Tuberculosis
  • Osteoporosis
  • Ligamentum rupture
  • Herniated disk with nerve compression 
  • Bone disease
  • Neurological involvement 
  • Bone fracture
  • Congenital bone deformity
  • Vascular disorders 
  • Joint effusion.
In case you have a concern or query you can always consult a specialist & get answers to your questions!
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